Provider Demographics
NPI:1568575488
Name:HALLIDAY, RACHEL K (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:K
Last Name:HALLIDAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:K
Other - Last Name:CLEVELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1811 WEIR DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2272
Mailing Address - Country:US
Mailing Address - Phone:651-714-9646
Mailing Address - Fax:651-714-9647
Practice Address - Street 1:1811 WEIR DR
Practice Address - Street 2:SUITE 270
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2272
Practice Address - Country:US
Practice Address - Phone:651-714-9646
Practice Address - Fax:651-714-9647
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1396106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist